How Do You Treatment Plan For Facial Asymmetry Surgery?

Q: Dr. Eppley, I am a middle aged female with facial asymmetry that is worsening with aging. Left mid face flattening, left dropping nasal tip, uneven nostrils, split columella, weak chin and jaw. Interested in options. Facial implants vs orthognathic surgery? Rhinoplasty? Ideas for staged approach.

A: Thank you for your inquiry and sending all of your pictures. The one critical piece of information that is missing and critical in facial asymmetry assessment and treatment planning is a straight on frontal view non-smiling non-tilted face picture. That is the most important picture that I need. The other piece information that is very helpful for all facial asymmetry patients in their treatment planning is their list of the most important asymmetry facial feature they see to the least to try and fix.

Dr. Barry Eppley

Indianapolis, Indiana